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CONTENTS OF No. 4, Vol. XXV, 1906. 



Page. 

Thb Hahnemann Anniversart ... ... ... 130 

The Early Histouy of Homcbopatht in Calcutta and thr 

Sanitation of the City. By "Dr. Girish Chiinder Dutt, L.M.S. 131 

Common Diseases and their Treatment ... ... ... 137 

Editor's Notes : — 

Kissing ... ... ... ... ... 142 

Aberrant Vaccinia... ... ... ... ... ib 

A Case of Marked Intolerance of Belladonua ... ... 143 

Laryngeal Tuberculosis ... ... ... ... 1 44 

Native Pharmacologies ... ... ... ,.. ib 

Fatal Blood Poisoning following a wound by the Primula Obconica 145 

The Sale of Narcotics in the United States ... ... 146 

Ricinus in Gallstone Colic ... ... ... ... 147 

Personal Experience with Small-Pox ... ... ... i6 

" Max *' on Destruction of Rats ... ... ... 148 

" Medical Practitioner " or *' Doctor " ... ... ... 150 

Onosmodium in Muscular Asthenopia ... ... ... 152 

Obituary. Dr. Hurro Nath Roy, l.m.s. ... ... ... 154 

<'linical Record :— ■ 

A Case of Suppressed Small-Pox. By Dr. Hem Chandra Ray 

Chaudhuri, L. M. S. ... ... ... ... 165 

Tuberculinum and Arsenicum lodatum in Albuminuria. By Dr. 

A. Lambreghts, of Antwerp ... ... ... 157 

Cases Illustrating the action of Sulphur, Ignatia, and Sepia. 

By Dr. Stonham ... ... ... ... 160 

GLEi^iNOS PROM Contemporary Literature : — 

Adulteration of Foods and Drugs, their relation to the Public 

Health. By Amanda C. Bray, M.D. ... ... 163 

Acknowledombnts ..i ... ... a ... 17^ 




THE 

CALCUTTA JOURNAL 

OP 

MEDICINE 



Vol. XXV. ] April 1906. [No. 4. 



THE HAHNEMANN ANNIVERSARY. 

The Hahnemann anniversary and the annual meeting of 
the Hahnemann Society were celebrated on the 10th April. 
We had a sprinkling of the regular and irregular practitioners 
and friends. Cards of invitation were issued to all our colleagues. 
Their paucity of attendance was a marked feature. Perhaps 
an ill-will prevented them from the national ovation to our 
Great Master. The bond of adhesion was wantinsr. It is an 
ill-wind that does no body good. An ill-feeling creates greater 
disaster than the passive negation. We wanted all our friends 
to muster strong to do justice to the cause. It was a hopeless 
task to tune the discordant notes. We live in wonderful days 
of self-assertion. Harmony and peace are generally wanting. 
Arrogance has taken the place of humility. For all this degene- 
ration, we are not without the hope of regeneration. The rain- 
bow of peace is prospective. 

The Chair was taken by Dr. H. C. Ray Chandhuri, 
Dr. A. K. Datta, the Honorary Secretary announced tiie sad 
news of the death of Dr. Hurronath Roy, who as a Vice- 
President was a great supporter of the Society. All the members 
felt deep sorrow on account of the loss. 

Dr. Ray Chaudhuri then asked Dr. Oirish Chunder Dutt to 
read his paper on the Sanitation of Calcutta. It is our ooatpm 
to hear the subject dealt with without any disQUSsion^ lest any 



181 Tie Hahnemann Anniversary. [Vol.xxv,No.4, 

acrimonioas debate destroys the kindly feeling pervading among^ 
the members. Dr. A. K. Datta proposed the following office 
bearers for the ensaing year : 

President : 
Dr. H. C, Ray Chaudhuri. 
Vice-Presidents : 
Dr. W. Yoanan^ 
Dr. P. C. Mazumdar^ 
Dr. C. S. Kali, 

Secretary : 

Dr. A. K. Datta. 

Assistant Secretary : 

Dn P. li. Kumar. 

The happy oeeasion end.ed with a social gathering. 



THE EARLY HISTORY OP HOMCEOPATHY IN 
CALCUTTA AND THE SANITATION 

OP THE CITY. 

By Dr. Girish Chnnder Dutt^ i. if. 5. 
(Read at the Hahnemann Anniversary.) 

Mr. Pjre^idei^t and Gentiemen,— We have assembl^4 to-day 
to oommemoratje the birthday of the great Hahnemann^ the 
man of tiidiight and worJk^ who sacrificed himself for the cause pf 
humanrty. Such men ar^ born before their time and their lif^- 
work IB appreciated by a grifteful pppterity. Christ sacrificed 
himself on the eross^ and bis burning words and exemplary life 
serve as a bteaconjight^ shedding a hallowed lustre which vivi- 
fies prince and peasant alike. The sacrifice of Hahnemann is 
■no less noble. He bad uo thought for dear life which he conse- 
crated to suffering humanity. Hahnemann is the father 
of Homoeopathy which is now effeotin^ so much good all over 
the world. We paracfcise hon^eopathy, and it is opportune that 
we should bow down our heads in gratefulness and love^ before 
that liidng figur^i^ ivirbo towers l^ad and shoulders over his con- 
temporaries^ wihilst burning iocense to the great redeeoaer of 
\^oaiGW)pa|iiy^ it is xfmi» ^ 9^9^14 9^^ P^ tribute to t|ie 



Apn1 1006.] The Eaki^md^ Ai^ki^nifffy. ]f9ft 

meta<ky t>f the ftnaiii who wM mainly inBtrnmeataX in iatoodiio*^ 
ing homoeopathy in Calcutta* He spared no paina to Coster 
the Baored cult wfaioh be advocated in aad out of eeason^ yiiik 
all the strength of hia character. 

Half a century ago> homoeopathy was openly ridftookd in 
this metropolis and there was hardly a praetittoaer vAiO eoM 
avow his belief in it. There was no hbntoopathic diapensafcy^ no 
practitioner, and it was by precq>t and example that the tata 
Babu Bajendra Dutt tried to introdaoe the system in Calentte* 
He brought out the late Dr. Berigny^ opened the first bo«aceo<« 
pathic dispe^sary^ at his own cost and ezpeilse^ and day And.nij^hi. 
moved about the town^ treating htmdreds of patients withoilt tha 
least remuneration. On the contrary, he always ^)p)Bned hia 
purse-strings to his indigent patients. Such men like Pandit 
Iswar Chandra Vidyasagar^ itaja Digambair Mitter> Beary CliaiT«tt 
Sircar^ Bai Bahadur Juggodssh Nath Boy^ Peary Charia Miti^ 
ind otbers were brought over to the side ^f liomo^pathy hf 
him alone. Is it not therefore our duty to commemorate thio 
work of such a man ? My poor self and Dr. H. C. Bay^ 
Chaudhttti must hold his memory in grateful remembranoe foi:^ 
the many difficulties fa6 smoothed away fitom omr path. Blfjieodl:*^^ 
Dutt deserves a public memorial for the saerifiees h^ nkade fyt 
bomcBopathy. I leave dt bb y^u to settle the ol^afae of iht 
memorial but it ia meet and pi^per that in aft aasaeably ^fi 
bomoBopaths <y{ the tow% we shbuU offer tot bnmlde ttfibulte tot 
the man who laboured and died in the interest of 'homflodpathyi 
Had Dr. Sircar been still livings he wo^Id bi^ve joined us in 
paying tribute to the memory of Bajendra Dutt. 

I will^ with ytour permission^ isay ra few words about thaflanii* 
tation of Caleatta. I r^^t I hive not been <afal^ cm Aooonfiit ol 
my poor health and professional iengftgements^ to devote mneb 
time and attention cm the subject I will only poiat oat to yon 
the landmarks^ and it woidd be for yon to ehalk out the routes. 

Calcutta IB not ^pfurtiimlarly healthy (durteg tiiis season of tfe 
ye^r. Diseases of sorts ai^e ^v^ging the te^m^ and it would nbt 
he uifpr6fitiAble> if we disenss the saiiitatiiDn of omr aurrouadiiq^ 



18S The Bahnemann Anniversary. [Vol.xxv,No.4, 

and some of the caoses affecting health in a friendly way before 
an assemblage of qualified medical men. I will first turn my 
attention to the food-stuffs which are offered for sale. Are they 
kept in such a way as to prevent outside-contamination ? Who 
has not seen sweet meats and perishable food-stuffs exposed for 
sale with no safeguards worth the name to protect them from 
dust^ flies and bacilli^ and disease-germs which float about in the 
air ? Adulteration on a large scale^ in ghee^ milk and other 
substances and necessaries of life is openly carried on under the 
very nose of the gentlemen who are called upon to look after our 
health. I will be the last person to say anything behind one's 
back but taking into account the extensive adulteration carried 
on and the putrid meat and fish offered for sale in the light of 
the day in the most open manner happening almost every day ia 
most of the markets of the town^ one would be apt to think that 
these sanitary officers are not alive to a sense of their duty. The 
Health Officer of the Corporation is not seen where he should 
be. He confines himself within the four walls of his laboratory 
intent upon gaining bacteriological experience which may bene- 
fit him in diverse ways. He should freely move about, and 
without depending upon the subordinates for his facts and 
figures look to the sanitation of the town himself. If one of our 
Municipal Commissioners with a bit of waggery in him should 
fix upon a most insanitary hole, and ask the Health Officer 
about the site and its surroundings then he would, I am afraid, 
be on the horns of a dilemma. 

The drainage of the towti is defective ; the flushing operations 
are not up to the mark. Vitiated gas from the manholes is freely 
and constantly issuing and circulating in the town. This de- 
eomposed gaseous matter, which is heavier and denser than the 
surrounding air, circulating below a height of ten feet, is 
poisonous, and causes the deaths of coolies, entering the manholes. 
These effluvious, unhealthy emanations create acute and chronic 
diseases of various sorts and foster the hordes of bacilli which 
like ravenous greedy vultures float about ready to enter the 
human system. The cumulative action, of sewer gas on the 



April 1906.] The Hahnemam. AnHiiversary. 134 

human system gradually debilitates and weakens the conservative 
power of the vital force, which when unable to resist the action 
of tlie gaseous poison gives way to the generation of acute 
diseases, which may with lapse of time become chronic. The 
constant breathing of this vitiated atmosphere produces gradually 
general malaise, depression of health and more or less ansemia. 
To stop the mischief which is brewing and which may assume 
serious proportions any day, it is better now to nip the evil in 
the bud by not allowing privy connections. Night-soil should 
be removed by methars and should not be allowed to pass through 
the drains reekiug as they are with contamination of sorts. 
Night-soil will make the contamination more powerful and 
dangerous to health. Who has not noticed gas emanating from 
the manholes, while they are kept open in the morning before 
flashing? The manhole trap is not air-tight and there is con- 
stant issue of deleterious gas from it. Pedestrians, taking a cousti-' 
tutional walk in the mornings should beware instead of inhaling 
the salubrious morning air, they are likely to inhale the most 
subtle poisonous effluvia^ which may dangerously affect their 
health and safety. Cases of typhoid fever were rare before the 
drainage system came into vogue, now they are met with 
almost in every pai*t of Calcutta. You are all familiar with the 
name of Dr. Mouat whose academical distinctions and practical 
work raised him to a high position of trust and responsibility 
under Government. He emphatically said that Calcutta would 
be at sometime or other ruined on account of the underground 
drainage system, which will give birth to the worst and most 
virulent form of epidemic diseases. His sage and prophetic 
utterances are almost going to be verified. There is another 
patent fact about the drainage which I would like to point 
out to you. The drainage pipes may carry contagion from 
one house to another. If that occurrence is possible the look- 
.out is dark and dangerous. Who has not noticed the fact 
that during the time of flushing, bad deleterious gaa t forces out 
of the sewers and contaminates the surrounding atmosphere. 
Now, please turn your attention to our drinking water. The 



186 Tie Hahnemann Aaiiiv^rgary. [Vol.xxv,No.4, 

taste of filtered water bad of late changed ; nt times a peculialr 
smell is noticed. WhcDce these changes ? I have no hesitation 
to attribute them to the itaapnrities^ aniuaalculsd and deposits 
formed ap^ germinated and accumulated in the water-mains and 
pipes which have never been cleaned since they have been laid 
under tbe soil. Decomposed matter and animalcule have oftea 
come out through the hydrants. Leech and snake stories Ate 
extant in the town. These water-pipes have been left ttncleaned 
for years together. Does not common-sense say that it is A 
source of danger to public health ? The Ganges water if kept foir 
a long time^ would never generate animal life, but purified pipe^ 
watehr would do so and contaminate under certain conditions, t 
have hurriedly and imperfectly laid befere you the pkiii faetA 
which have come under my personal observation in the hop^ 
that you may look out for yourselves and devise schemes whiok 
will improve the sanitation of Calcutta^ and obliterate dangerous 
conditions under which we all live. Another fact which I lay 
before you is that when thete is a fall of rain, the streets and lane^ 
especially in the native quarters of the town, are submerged and 
the water remains on the surface for a considerable period. 
This stagnation of water is one of the principal causes for the 
^neration of the malarial poison and diseases of the digestive 
system. Is there no remedy for the accumulation f The 
drainage is defective or else why will the water remain for stich 
a length of time on the surface ? It is the duty of the Health 
Officer to take notice of this fact and prevent the atagnatioh 
of waterw 

Anothe(r matter affecting our health is the promiscuous use of 
foreign patent medicines and miany other indig^ous patent 
inedicines, the ingredients of which are not always known to m. 

A JpUfihing, bustling speculator desirous of reaping a goldeii 
liarvest Wihin the shortest possible time, blows his own trunlipet 
lustSys Ids words tere believed in like Ot)spel truths, atd #b 
have not the least scruple to prescribe those nostrums for tbd 
t)enefit ^<)ur patients with results which may be better iiHaigin'^ 
€id thaii di^itbed. I do not ^6 so far aiii to as^tt that all pat^tit 



April 1906.] The Buhnemann Anniversary, 180 

medioines are worthless^ and they should not be used by medical 
men. What I moat emphatically protest against is the use of 
patent medicines when their composition is not known to us^ and 
when we most innocently, it may be, repose our confidence in the 
word of the advertiser. I am a believer in the influence of stars, 
planets, &c., on the world. We live under this influence is percep- 
tible on animal, vegetable and mineral kingdoms in a greater or less 
degree on account of the positions of the planets which according 
to their strength and capacity are beneficial or malefic in charac- 
ter. Swadeshi medicines obtained under given conditions, bring 
about beneficial results not to be obtained from foreign medicines 
grown and prepared under circumstances which vary consider- 
ably on account of the planetary and climatic causes. I throw out 
an idea and it is for you to reject or work upon it, as you may 
think best. The use of patent food, imported from Europe^ 
should he brought into account. We do not know what chemi- 
cal change this food undergoes when kept for a long time in a 
hot country. Is it not necessary to examine it before prescribing 
to patients ? 

A great controversy is going on about the cause of malaria. 
It is attributed to the bite of that ferocious blood-sucker the 
terrible mosquito whose eternal buzz behind our ears on sultry 
nights is more dreaded than the presence of the royal animal in 
the shape of a tiger. Water stagnating under the soil and de- 
fective drainage are favourite theories. But does it not strike 
you that ever since the use of quinine as antidote for malariid 
fever, the fell disease has increased in undue dimension; ? A 
healthy man, partaking of quinine would show the iijidentioal 
sjrmptoms developed in malarial fever. What I contend foir is 
that quinine may have been an antidote for malarial fever w^lpi 
never existed in this country before the introduction of this drag, 
^here are and were many excellent febrifuges which m^aj he o^ 
isaight hav.e been prescribed in fevers other tba^ odalarijal^ bu^ 
instead of this, we use quinine in such fever, and malarial f^^er 
interv^es. I, therefore, assert . that quinine is veipoii9iliiil^ &r 
generating malarial symptoms. 



137 Common Diseases Si* their Treatment. fVol.xxv,No.4, 

COMMON DISEASES AND THEIR TREATMENT. 

f Continued from page 99 .^ 

Sabina has a few symptoms indicating its use in inflammatory 
swellings. They are sprained pain in shoulder joint ; stinging 
pain extending inwnrd near elbows ; slicing in outer coud^les 
of elbows ; pain in radius worse from motion or touch ; bruised 
pain in middle of anterior surfaces of lower extremities on motion y 
sticking in heels extending outward ; heaviness and indolence of 
body ^forcing him to lie down. 

Allen says : "Chronic arthritis and gout better from open air, 
worse from warmth, with general depression ; the pains involve 
the shoulders, elbows, hips and knees ; often accompanied by- 
pulsation in diflfer^nt blood-vessels^^. What remains useful for 
rheumatism and gout may also serve to allay inflammatory 
tension. It seems that Sabina may help in those cases where 
the senation of pulsation is felt in the blood-vessels. 

Saccharum laetis is Lactose or Milk-sugar. The use of Milk- 
sugar in medicine proves that there is no substance which has 
npt some kind of medicinal property or other. Clarke says : 
" Hahnemann chosen globules of Saccharum laetis as the chief 
vehicle of his remedies, because he considered it the most 
Inert substance he could find. But his method of attenuating 
remedies had shown that no substance is inert in attenuations, 
and experience shows that no substance is absolutely inert in 
any form,^^ 

"Without taking into consideration its diuretic and pur- 
gative properties, we would see whether it has any action on 
inflammation. It produces hot flashes all over the back of neck 
and shoulders ; pain and soreness at the upper vertebral border of 
scapula ; pain in back from scapula to sacrum ; pain in lumbar 
region ; pain in shoulder, axilla, elbow, wrist and hand ; sore- 
Dess in gluteal muscles, knee, and foot \ (great physical ex- 
haustion caused by over- work, completely relieved ; repeatedly 
verified by Swan and others.); pains are worse in a damp room 
or basement, but better if there was a fire. 



April. 1906.] Common DiseuMeit ^ their Treatmmt. 188 

Snooharum lactis can be useful in slto^ht pains att«ikled irith 
inflammation of any joint. It is an undeniable faot that Milk* 
augar helps as a sequel in curing inflammations when other 
powerful medicines have been administered* 

Salicylieum acidum is found rarely in nature. The artificial 
preparation is the source of supply. Like all pharmaceutical 
preparations^ the product of laboratory«>experimeut9 it has 
generally proved a source of mischief with the Old School* 
Homoeopathy has taken tlie advantage of its poisonous symptoms 
to apply it in infinitesimal doses for a few brilliant cures* li 
can be applied in inflammation. The symptoms are : Heat 
redness, soreness^ and swelling about joints^ worse in kuees witK 
acute piercing pains^ worse on motion^ better from dry heat ; 
pain in fingers and little toes; diHiwing in ealf extending into 
thigh y then transferred to arm ; soreness ami pain in deltoid and 
gastrocnemius, changing to wrist and /brearm, with soreness to 
touch and soreness on moving limb ; strained pain in shoulder* 

The changing character of the pain of Salicylic acid is most 
marked. It is said to be useful in any kind of swelling caused 
after suppression of foot*sweat. Its another peculiarity is the 
pain in the deltoid and gastroenemios muscles. It has been used 
in rhenmatic pains. In other kinds of inflammation the medicine 
can be tried where the pains are of sifting nature. 

Sangninaria canadensis or the Bloodroot hae : Pain in tie upper 
part of left side of head, worse in ege : pain on touch in head ; 
pain on breast^ loiu^ nape of neck^ slioulder and arm ; nervons 
thrill through system ; pulsation through whole body ; pain im 
shoulders; from shoulder down to scapula; pain in hip extending 
into leg; pain in limbs^ especially in shoulders, arms, and 
thighs, and worse at nig!it; pain in right deltoid; brtiked like 
pain in thigh, alternating with burning and pressure in cbeet; 
an uncomfortable prickling sensation of warmth spreading over 
whole body ; pain rising from back of neck over top of head 
running d^^n into forehead; weakness and palpi tatioa of 
heart; redness and bacning o( band; bpiiised pain in h^ ; swdUj 
i^g of kg and fnot with inwiard btmninf and astettel o»ldMis ; 



189 Common. Diseaies 8f tkeit Treatment. [Vol.xxv,N'o.4, 

sharp and severe pains in ankles and foot ; pain in superficial 
bony parts; most of the symptoms aggravate during even- 
ings and mornings. Sangninaria has cured many cases of 
rheumatism. No case has been recorded signifying its usefulness 
in ordinary inflammation. It may be serviceable in inflacoma- 
tion of the shoulder joint or nape of the neck. 

Sarsaparilla produces : Lightuinop«like tensive pains liere 
and there in body and about head; sensation in all bones as if 
breaking; drawing pain in scapulae and legs; infliimmation 
of thumbs worse at night with throbbing and burning ; pain 
in tips on pressure^ as from ulceration or as from salt in a 
wound; shootings tearing^ pressive pains; darting^ pricking 
sensation in bones; arthritic pains^ from suppressed gonorrhoea, 
with diminished secretion of urine ; rigidity and immobility 
of limbs ; hot and tense swellings ; redness and burning of 
hand; pain in tips of fingers (bruised and sore); swelling 
and stiffness of knees^ with shootings ; breast-bone as if bruised ; 
face as if bruised ; jaw as if broken ; as if tips of fingers 
ulcerated, or as if salt were put on a wound. 

Allen remarks : '' Bone pains following gonorrhoea, or after 
the use of mercury, worse in dampness.'' Pareira says : '^ Its 
continued use is often attended with improvement of appetite 
and digestion, augmentation of strength, increase of flesh, the 
production of a more healthy tone of mind, and the palliation, 
or, in some cases, the complete disappearance of various morbid 
symptoms — as eruptions, ulcerations, pains of a rheumatic 
character, etc. It is not adapted for the cure of intermittents 
or of simple debility. But its effects are seen in those depraved 
conditions of the system, which the public, and even some 
medical men, ascribe to the presence of a morbid poison, or to 
a deranged condition of the fluids. Hence, it is frequently 
denominated a purifier of blood. Those who do not adopt the 
pathological notion here referred to, call it an alterative. '' 

By the Old School the following use of Sarsaparilla, which is 
to our present purpose, has been recommended : 

^* In chronic Abscesses, attended with profuse discharge, 



lO.i 



April 1906.] Common Diseaui Sf tAeir TreaimetU. 140 

diseases of the bones^ obstinate ulcers^ chronic pulmonary affec- 
tions acoompauied with great wasting of the body^ enlarged 
glands, and various other maladies connected with a depraved 
state of the system^ Sarsaparilla is often a very useful medicine/' 

Great difference exists as to the quality of Sroilax. The 
officinal Sarsae radix comes from Jamaica. It is a non-mealy 
Sarsaparilla. The mealy Sarsaparillas are not preferred for 
medicinal action. The non-mealy varieties are Jamaica and 
Lean Vera Cruz. The mealy are Brazilian^ Honduras^ Gouty 
Vera Cruz^ and Caracas. The non^mealy contain more smilacin, 
are more acrid^ and they yield the largest quantity of extract. 
Among them^ that coming from Jamaica is the best. 

ScropAularia has proved curative in threatened abscesses that 
show no sign of disappearing ; in recurrent periostitis of lower 
jaw in a syphilitic ; and as a local remedy in appendicitis. 
These facts are collected by Clarke. He remarks: '^Cooper 
gave it to a patient who had been poisoned by an Indian arrow- 
poison which produced inflammation and suppuration of the 
glands..... 'Nodosities in the breast' iis another indica- 
tion of Cooper's Cooper has seen Seroph. in the form 

of a poultice relieve peritonitis affecting the lower abdomen.^ 

Secale eornutum produced Gangrene of stomachy lungs and 
liver, preceded by inflammation; limbs painful^ eold^ rigid, ah' 
most insensible toitk internal pain, worse from heat, somewhat 
better from cool air, the pain gradually extended from toes to legs 
and thighs and from fingers to arms and shoulders, till sphacelus 
supervened, the affected parts dead, black and dropped off; ew^ 
iremities pale, cold (0td wrinkled, as if they had been long in 
water; insensibility o( fingers and toes ; fuzzy feeling CPhoa) ; 
sensation of sleep with formication ; contractions of hand, feet, 
fingers and ' toes ; sudden periodic contraction with tensive pain ; 
swelling and pain without inflammation^ then coldness, blue color, 
cold gangrcfie and death of the limb ; swelling of hands and feet 
with gangrene, black and suppurating eruption; discolored skin 
on fingers and toes, then gangrene, then dropping off of limbs ; 
gangrene of fingers and toes ; of limbs, then suddenly become eotd. 



141 Common HUeOM ^ their TreaimenU [Vol.xxv,No.4, 

lead colored and imeneiile; of limbs without pain when pricked 
or eutf though often motion is not entirely lost ; with separation qf 
the part from the body j the dead part separated at the joint ; 
cold ffnm^ene of limbs; cold and painless ^ so that fingers and 
toes drop off ; formication ; burning assocuited with cold u ess ; 
black gangr^^nous pustules; subcutaneous tingling; ulcer turn 
black; gaoguineous vesicles which turn to gangrene in the 
limbs ; dry gangrt$ne^ particularly on right side^ beginning in 
toes and running up the linibs. 

We are not at present interested in the phenomenon of grau- 
grene. Clarke remarks : '^The boils in which Sec. is indicated 
are small and painful, with green contents, mature very slowly, 
teal slowly, and are very weakening/^ No experience has been 
recorded with regard to the stage of inflammation which pre* 
cedes gangrene. It seems that Secale may be of service in 
inflammation with coldness, numbness and swelling. Absence 
of heat is the predominating character. The swelling is worse 
by ejcternal heat. There is internal burning iu the affected 
j^rt which disallows covering. 

The other prominent symptoms are thus described by Clarke : 
**Por See. lessens the coagulating power of tlie blood, and pro- 
duces a hsemorrhagic diathesis ; persistent offensive bleeding. 

Small wounds bleed persistently In spite of burning 

in all parts of the body as if sparks were falling on the patient. 
Another characteristic sensation is numbness; tingling as if 
ants crawling all over, better from rubbing. This may accom- 
pany haemorrhages, loss of other fluids, debility, or skin affec- 
tions. In the later stages of ergotism there is anaesthesia.^' 
These symptoms indicate its use in many diseases including 
inflammation. 

To be continued » 



April 1906.] SIdiUr't Notm. Ut 

EJITOR'S NOTES. 
Kissing. 

We take the following from MatthewsorCa Exchange and Bureau 
Advertiser f Nov. 14, 1905. 

^^ We should have more faith in the anti-kissing crusade if it were 
conducted by men of a kissable type. 

« 

It is all very well for a man to suddenly discover at the age of 
Beventy that kissing involves danger from germs. Why did he not 
discover it when he was twenty five ? 

It is not fair. These dry-as-dust professors have no romance. 

Once upon a time a fox lost his tail. '^ I will make it the fekshion 
for foxes to have no tails/' said he> and he called a general meeting 
and used all his eloquence to induce the other foxes to part vith 
thier tails. But in vain. 

Once upon a time there was a solemn old bore of a professor whom 
no one would kiss. ''I will abolish kissing'' said he, and he called a 
tuberculosis congress, consisting, like himself, chiefly of old fogies. 
They were delighted at the suggestion that kissing should be stopped, 
for no one ever kissed them, and it made them angry to see kissing 
going on elsewhere. So they passed the resolution. 

And it was obeyed, but only as far as the old fogies were con- 
cerned. People who had heretofore refrained from kissing the old 
fogies read the resolution and continued to refrain/' 



Aberrant Vacoinia. 

The following letter from the Lcmcei, February 3, show* how 
vacoinia can be transferred from the child to the mother : 

** A VACCINATION vesiole in an anomalous situation is perhaps no 
very great rarity ; they are always worthy of report as awkward 
questions of diagnosis may be raised by them. I was fortunate 
enough to secure an excellent photograph of a case of this kind that 
came under my observation last summer. The woowm applied for 
treatment at the Bourne Valley Dispensary. The appearance of ike 
^^Bore" of which she oomplained was that of a large mature vaccine 
Teaiole and on inqoiry I learned that her baby had been vaccinated 
a fortnight before and that the arm had ''taken" welL The exiuct 
manner in which the virus had been transferred could not be as- 



14^ Editor's Notes. [VoI.xxv,No.4, 

certained. The baby's finger-nail seems tl^e most probable instrument 
of inoculation. The lip, as the illustration shows, was much s'wollen 
and it was yery painful ; there was considerable constitutional dis- 
turbance — pyrexia, headache, ^ These symptoms subsided in a 
few days and the vesicle ran the usual course." 

The case shows that yaccination-pustules are capable of producing 
infectious sores to others. The transference depends on the health 
of the person. In this case, it may be presumed that the mother 
who was infected by the vaccination pustule of her child, "was 
susceptible to its influence. It is an indirect form of vaccination. 



A Oase of Marked Intolerance of Belladonna. 

We take from the Lancet^ March 3, the following : 

'' The following case is remarkable as showing a very marked idio- 
syncrasy with respect to belladonna. The patient, who was a nurse 
suffering from cellulitis of the leg unattended with any abrasion of 
the skin, Was ordered an application of "glycerine and belladonna." 
40 minims of this mixture, that is approximately 20 grains of extract 
of belladonna, were applied to the inner side of the foot Within 
half an hour the patient complained of great swelling of the leg and 
a sensation as if the skin would burst. Dryness of the throat and 
lips, a feeling as if the nipples were being forcibly retracted, and 
difficulty of speech quickly followed. The patient now became 
delirious, the pupils were widely dilated and insensible to lights 
the hands were kept in perpetual motion groping for imaginary 
objects, and efforts were made to tear the bedclothes. This delirium 
lasted for some hours, after which she gradually became more compos- 
ed but felt as if she had passed through a severe illness. In 48 hours 
the dryness of the throat and the pain in the breasts had disappeared, 
though the pupils remained dilated and only resumed their normal 
condition on the fourth day. The treatment consisted in the adminis- 
tration of hot coffee and a quarter of a grain of morphine, together 
with the use of continuous hotjapplication&" 

This case of Belladonna poisoning illustrates the danger even in 
local application. The Old School should take a note of this case 
before ordering such usa 



April 1906.] Editor's Notes. 144 

Laryngeal Tabercnlosis. 

In the N<yrth Ameriean Journal of HonMopathy for March, we 
liave the following note : 

<< Differentiation must be made between malignant, sjphilitio and 
tabercular laryngitis. Severe pain is absent (practically) only in 
syphilis. Ulceration is shallow in malignant and tubercular cases ; 
deep and jagged in syphilis. In tubercular infection the tubercles 
may be seen below the epithelial covering even before they break 
down, and the ulcers may be seen merging into each other. A club- 
shaped enlargement of the arytenoids is almost diagnostic ; also a 
tumefaction in the posterior commissure of ^the vocal chords, while a 
general anemia of laryngeal mucosa is always suspicious. 

In diet, fresh, raw eggs, fertilized, i. e., from flocks of fowls in 
which there are a sufficient number of efficient male birds, and milk 
warm from the cow, L e., with the animal heat and vitality unim- 
paired, are particularly commended. Operative measures are 
inadvisable, useless, cruel." 

Laryngeal tuberculosis is of unfrequent occm*rence. The cases 
under our treatment were observed to get hypertrophy of the 
arytenoid cartileges, mixed with the emission of large quantity of 
sticky sputa. In syphylitic laryngitis the expectoration is not so 
profuse and the hypertrophy of the cartileges is absent 



Native Pharmacologies. 

In the March number of the North American Journal oj 
Medicine we read : 

" Tlic Calcutta Journal of Medicine suggests the advisability of 
India having a pharmacology of its own, as it has so many native 
drug substances. As an instance it notes that the native quinine 
has proven itself as efficacious as the imported Peruvian bark. 
!nnctures are much more reliable as well as moi*e potent when made 
from fresh vegetables. Therefore, it is an advantage to have them 
"home-made" rather than from foreign dried plants. Tbey are also 
cheaper. It is a wise provision of Nature that each country seems 
to contain the drugs which are best fitted for the ailments of that 
country. It is therefore the part of wisdom to develop the native 
resources. By all means let our Indian brethren, as well as our 
brothers in other ooontries^ construct native pharmacologies. Not 



14^ Editor's Notes. [VoI.xxt,No.4, 

only they, but the whole brotherhood of practitioners will gain 
^lei-eby." 

We thank our colleague for the appreciation of our service in 
tire cause of an Indian Homoeopathic Pharmacology. It was always 
the earnest endeavour of Dr. Mahendra Lai Sircar to prepare 
tinctures from fresh plants. We followed him in his foot-steps in 
that cause. Our first desire is to avail of those medicinal plants 
which have already been so well proved and then to add others 
which are only found in India. 



Fatal Blood Poia#ning fbllowing a wound by the 

Primula Obconica. 

The Lancety of the 24th March, has the following : 
"The patient, a woman aged 29 yeai*s, was recovering from 
an attack of influenza when she accidentally scratched her nose whilst 
smelling at a plant of the variety referred to. The nose rapidly 
swelled up, became a deep plum colour, with many points of suppura- 
tion similar in appearance to a carbuncle. Under an aosesthetic the 
diseased portions of the nose were scraped away. CEdema of both 
eyelids followed, the same destructive process taking place in the 
feoft tissues, ti diffuse cellulitis of the forehead and scalp then super- 
vened, and despite incisions continued to spread. No discharge 
came from the wounds. The patient died at the end of the week 
with symptoms of pneumonia. At the post-mortem examination 
acute c^mgestion of both lungs with many foci of suppuration were 
found. Cultivations discovered the streptococci and staphylococci 
pi-esent. This is the third case of acute inflammation of the skin 
and subcutaneous tissues I have met with after infection by the 
primula obconica. Two died and one recovered after a very prolong- 
ed illness. Th^e infections were all on the face. I lea^n that a 
species of eczema of the hands often affects gardeners when tending 
this plant. These facts hardly encourage one to add the primula 
pbconica to one's floral possessions.'' 

. The poisoning symptom of Primula olMHHuca is intetesting^ at, 
nuchas it {itrodttces diffuse oellalities of the face. The dai^ar of. 
erysipelas in tb« faoe can not be under estimated. For this reascNBL. 
it is an additional ^help tp our list of toedieu»« ia that hind ef. 
dUatase. .... 



April 1906.] JEdiior'i Notes. l46 

The Sale of Narcotics in the United States. 

2^6 Lancet, April 14, -writes ; 

'*XJpoN the invitation of the legislative committee of the American 
Pharmaceutical Association a conference of delegates from the various 
pharmaceutical associations in the United States has met to consider 
what steps might be taken to check the sale of narcotics in the 
TJnited States. As a result of this conference a draft Bill has been 
formulated to provide against the evils resulting from the traffic in 
certain narcotic drugs, including cocaine, alpha and beta eucaine, 
opium, morphine, heroin, chloral hydrate, or any salt or compound 
of these substances. Section 1 makes it unlawful for any person, to 
sell, to furnish, or to give away any of these substances or their 
preparations, except upon the original written prescription of a 
niedical, dental, or veterinary practitioner. The prescription must 
contain the name of the patient or in the case of a veterinary pres- 
cription the kind of animal that it is intended for and must be signed 
by the prescriber. It must be permanently filed by the pharjnacist 
who dispenses it and mtist only be repeated upon the written order 
of the prescriber. No duplicate copy may be made or delivered to 
any person but the original must at all times be opeo to inspectioi^ 
\^y the prescriber and by authorised officers of the law. Provision ia 
made for the sale without these restrictions of minimum stated 
quantities of preparations of these drugs — e.g., preparations contain- 
ing two grains of opium or one-eighth of a grain of cocaine in, one 
fluid ounce. Exceptions are made also in the case of preparations 
containing opium when recommended and sold in good faith for 
diarrhoea and cholera and when the label bears specific directions and 
a caution against habitual use ; other exceptions include Dover's 
powder and ointments and liniments plainly labelled "for externa), 
use." Section 2 makes it unlawful for a qualified practitioner to 
supply or to prescribe any of these substances for the use of any 
habitual user of the same. But the provisions of this section woi^ld 
not prevent any medical practitioner from supplying or prescribing 
these drugs for a habitual user of narcotic drugs under his profes- 
sional care, provided that the administration of the same was con- 
sidered by him to be a necessary part of the treatment. Section 3 
provides that any person who shall violate any of the provisions of 
the Act shall be deemed guilty of a misdemeanour and shall be fined 
upon conviction for the first offence not less than 25 dollai-s or more 
than 50 dollars ; for a second offence not less than 50 or more? 
than 100 dollars ; and for a subsequent offence not less than 100 
or more than 200 dollars, and shall be imprisoned in the country 
gaol for not more than six months, and if the misdemeanant be a 
qualified physician, dentist, veterinary surgeon, or pharmacist hitf 
licence shall be revoked. The remainder of the bill deals with the 
machinery whereby prosecutions sliall be set in motion." 

The necessity of a similar bill has become imperative in .India. 
As far as we know the Government of India being an excise 
trader cannot venture to make the law. •• ^^ 



147 impi^i NoUt. rVol.xxv,No.4s 

Kidiiiift m Qaltatoae Oolic. 

The North American Journal of HomoBopathy of February, tekes 
from Dr. Bernaj's note, in Hfinuvopathische Monatablatter, the fol- 
lowing remarks : 

''The pathogenic and toxic symptom of ricinus show striking 
similarity to an attack (with the sequelse) of gall-stone colic. 
Experience has taught ricinus in alternation with belladonna exer- 
cises even in the 3 dil. a most favorable influence, rapid and almost 
as analgesic as a hypodermic of morphine and much more enduring 
and without the ill-effects of the latter. This amelioration is es- 
pecially striking if there be great nausea, greenish diarrhoea. Yertig^o 
and anxiety with a sensation of epigastric pressure The alternation 
with belladonna is particularly indicated if the attack be accompanied 
By much flatulence, an alternation of pallor and flushing in the face 
and violent pains compelling the patient to bend double. The 
ricinus acts upon intestine andPliver, aided by the vaso-motor speci- 
^city of belladonna. Ricinus 3, belladonna 3, gtt x of each in two 
glasses of distilled water (200 grams), a spoonful in alternation every 
10 minutes. If the vomiting persist the remedies may be given in 
dold water or the menstruum frozen and given as cracked ice. 
Bicinus is not only efficacious in the acute attack but pre-eminently 
80 in the sequels, e. g. : 

1. It cures the sequent jaundice. 

2. It hinders and delays a^recurrent attack or materially lessens 
its violence. 

3. It acts potently upon th(B digestive disturbances which accom- 
pany the colic disease and which are exhibited as heaviness and 
fiatulence several hours after a meal, especially after fatty or 
starchy food. Here experience has taught the value of ricinus, 
in. 6 to 10, gtt. iii-iv or a few pellets a half-hour before meals., 
Marked improvement soon follows," 

The experience of Kicinus in curing gallstone colic is a new feature. 
Kicinus creates violent colic and yellowish vomiting. The remedy. 
is worth a trial in other cases. 



Personal Experience with Small-Poz- 

The; HonuBopathic Envoy of March writes : 

<* My husband and I left Siua Francisco November!, 1901, on 
boa|4 a government transport, for Manilla. After leaving Guam, 
about November 18, all pass^ag«n» were vaccinated., I was quite ill 
for two or three days, ixom. the effects of the contagion, having 
ooQsiderable fever. The surge(m pronounced t^e scab a healthy one. 
"y^j husband'a vaccination was, not successful on t^is or two later 

. We lived in a provincial city that was suffering from a scourge of 
small-pox. The death rate per day would have scared people at 
hpme. We were exposed continually in and out of our schools. 
, On November 16, 1902, I took the . small-pox ; fortunately aa 
American physician was there tp,a^vic€j,a^4,Mp. H^JwA Wlftftitt/ 



April 1906.] ^i^>r^ NoiA. V^ 

bigh a6 one hundred and fifty peo|>)e in a p^t-h6tilii^ at one iStih 
and said that my case was far worse than aliy of them. 

There were ho not'seB to be had, and my husband took cisu*^ of tne 
through the illness, and did not contract the disease. He w^ Vab- 
otnated successfully when a child, but none has been suocesiifal 
i^ince. 

1 was sick in bed with the small-pox just four weeks, and t^idi 
about two months longer in recovering fully. I was broken out 
from head t6 foot,, alike, and the eruptions were so dose together 
that they would break open and the virus would run down the 
doctor's hand when he took hold of my wrist to take rHj pulse. My 
fever wais very high, remaining between one hundred and three tod 
<^e hundred and four and a half for t^n days, and I was conscious 
all of the tilme. My pulse was very rapid most of the time, reach- 
ing one hundred and forty-eight." 

The danger of vaccination generally remains unreported to show 
the success of vaccination. Recently, we had the chance to see a 
few such cases. Three children were re vaccinated from the same 
Mnis contained in one tube at almost the same time, by a municipal 
vaccinator. Two of them had moderate attacks of the disease. One, 
a girl of twelve had a half suppressed type of smallpox with high 
fever and delirium. The girl could be saved by the administration of 
homoeopathic medicineis. Many cases have occurred like the men- 
tioned incident encling fatally in a few. By observing the present 
epidemic, we have entirely lost faith on the fad of vaccination. 



"Max'' on Destruotion of Rats. 

"Ma5c" writes in Coital : — 

"Eatsi Sats! The pkglie ik again, upon us trying to bum into our 
tttindft the lesson thiat unleto we extemninate the evil, of whibh this 
pestilence is the visible and outward sign at its v^ry root the city 
will simply shelter in plkgue and small-pox and all other diseases 
brought on by filthy men and filthy houses and filthy districts until 
all the nonimmune amongst the inhabitants Hre killed off. We have 
Resolved over and over again to improve and cleanse Calcutta ibr 
years past and again the execution of the ackeme has been relegated 
to the lotus land of **put-it-off" for one yea* more. The Municipal 
Plague Department seeing that the root of the evil remains untouch- 
ed have. been doing all they can at the olher end, viz., recording and 
tabulatiBg the number of the seizures aiid deaths and jE^ding to thB 



149- 



Editor^ t NoUt. 



[Vol:xxv,No.4, 



District No. 1 
Do. „ 2 
Do. „ 3 
Do. „ 4 



proper disposal of the dead and to the diiunfecting of the houses. 

This jear they have been doing more. 

, Believing that rats are in some way connected with the spread of 

plague the Department have been conducting a crusade against these 

animals, and have Jbeen paying two annas per head for every live rat 

brought to the several District Stations. The results for the past 90 

days ending 31st March last are as follows: — 

Total number Caught. 

per day Average, 

20,218 ... 225 

1,628 ... 18 

3,784 ... 41 

1,067 ... 12 

Even at the Head Office an average of a little 4 rats per day were 

tendered during the period referred to. The total number of live 
rats secured at a cost to the rate-payers of lU. 8,379 was 27,038. 
The reward is now reduced to one anna per live rat. It will be in- 
teresting to watch the result of the reduction of the rate on the 
number that will now be tendered. 

Besides these 27,038 live rats there were 11,700 dead rata 
picked up during the 90 days, or an average of 130 per day. There 
must be at all times a considerable normal death rate amongst the 
huge community of rats living in Calcutta and these 130 are of 
course part of the daily mortality. According to an eminent autho- 
rity, the ratio of rats to human beings in a community is as 1 to 2. 
I'his would give the rat population of Calcutta at about 500,000. 
Now the natural fecundity of rats is something appalling, and the 
catching of 300 live ones every day does not in the slightest degree 
reduce the population. But the Plague Department mean well, 
and if the daily sacrifice of 300 live rats can even by the gift of faith, 
be connected with a corresponding decline in plague, it is surely 
fplly on the part of the municipal believers to lower the rate of 
remuneration to the rat<catchers. Surely not a smaller but a greater 
inducement ought to . be held out to them. If according to the 
Health Officer's opinion the catching of 300 per day causes a sensible 
diminution of the plague what would the catching of 600 or even of 
6,000 not do. But whatever happens, be ye sure of this the natural 
and virulent fecundity of the species will baffle all your efforts to 
reduce the rat population, of Calcutta. We will have to begin at the 
root if the plague tree is to be destroyed." 

Kill the rats is the cry in India of the modern sanitarians. They 
seem to have lost their senses in this matter. 



April 1906.] Editor' t Naiet. 150 

•'Medical Practitioner'* or "Doctor." 

- The British Medical Journil of March 31, says : 

** Byron sang, "I want a hero — an uncommon want.** We want 
something much less uncommon — that is, a single word that shall 
denote a person who practises medicine, without reference to 'any 
special department or province of the art of healing. All other 
nations have such a word. The latin races have their "medicin" or 
their "medico" ; the Germans their "Arzt" — a relic, we believe, of 
the title borne by high functionaries of imperial Rome ; the Russians 
their "vratch" ; the Swedes their "lakare" ; the Danes and Norwe- 
gians their "l«ge." The last term reminds us of the old English * 
word "leech," as to which Dr. Payne, in his FitzPatrick lectures, 
says : "It seems a pity that we have lost this useful word *leech/ 
which survived through the Middle Ages (and, according to Arch- 
hishop Trench, much later in Ireland). At the present day we much 
need a collective expression for physician, surgeon, apothecary, doctor, 
medical man, all of them either partial or ambiguous in meaning ; 
and in place of the seven syllables 'medical practitioner* it would be 
a great convenience to use the one syllable 4eech'. " It would cer- 
tainly be a convenience, but we are inclined to think that the 
convenience would be too dearly purchased. To modem ears the 
term "leech** connotes only a blood-sucking creature which has 
medidnal uses, and its application to medical practitioners would 
simply invite every witling to devise fresh matter for laughter 
against our noble profession. This would soon come to be a serious 
addition to the dullness of a country on which the New Humour al- 
ready weighs heavily. By what name, then, are we to be called % 
The Americans, with their practical sense, use "physician** as a 
generic term ; this, however, is open to the objection that it must 
often be ambiguous. ''Medical man,** or the snobbish variant, 
"medical gentleman/* is not comprehensive enough for the present 
4ay, unless we apply the grammatical rule that the masculine em- 
braces the female. , It is probable, however, that this would be 
objected to by lady doctors. The same objection lies to "medico,** 
which, beside8,has a smack of vulgarity. "Surgeon** and "apothecary,** 
both of which, were used by people in comparatively recent years to 
designate the general practitioner, are now obsolete in that sense. 
If a lady in society were to speak of "using the potticary,** no one 
would understand her; yet Mr. George Russell, who is still -in 
vigorous middle life, says he is just old enough to remember a great 
grandmother who used that expresfioon when she meant sending for 



151 EdUor^i Nofek. [Vol.xxv,No.4s 

the doctor. Mv. Richftrd Ckunt White, in his book WortU and their 
UseBf sniffs di8))aragingly at "practitioner" as ''an unlovely intruder 
vhice has slipped into the English language through the physicia^&'s 
gate." The fact appeara to be that it is the lawyer's gate through 
which it has gained admission. It is formed from the old Fi*ench 
"practicien," which is defined by Cot^rave in his Dictionary of 
French and English Tongues (1632) as "a practiser, or praotition 
in law, a pleader, etc." Another seventeenth-century writer wlio 
says the word was originally "pragmatitioner," applies it exclusively 
to lawyers. If a phrase of old Bishop Latimer in his sermon on the 
Lord's prayer, "Consider how long he (to wit, Satan) hath beea & 
practiti<mer," be quoted in disproof there are many who would not 
accept this as a rebuttal. A word of more correct formation would 
be "pi*actiser," and for this we might quote the authority of Chaucer^ 
who says of his "doctour of physik" that he was **a verray parfit 
practisour." But why should we not gracefully bow to the force <^. 
usage, and adopt the designation already given us by the voice of the 
people, which has been called the voice of god f We venture to 
think it is mere |>edantry that finds fault with "doctor" as the 
English equivalent of "m^decin." Tliere is the highest authority for 
this use of the word. Falstaff asks his page, "What said the doctor 
to my water?" In the Mefrry Wivei of Windsor, mine host of the 
Garter Inn says : "Shall I lose my doctor 1 No; he gives me the 
potions and the motions." Drydeb — whom we quote with regret on. 
account of the rudeness of his speech — says, "So liv'd our sires ere 
doctors learned to kilL" Befoe, in his Voyage Rownd the worlds 
saysi "Our doctors themselves (so we call the sm-geons at sea)." A 
word which was good enough for Shakespeare and Dryden is ifturely 
good enough for us> more particularly as it conveys an implied com- 
pliment, that we are par exd^llence, the depositaries of learning and 
the distributors of its fruits." 

In India the term doctor is applied to all medical ptaotitioners, 
«thet lay, half-fledg^d, or fullrfledged. The use of the word Is so 
tery loose heire tiiat it often causes irritation for making no distinct-' 
Ixon. The stribt application requires it to be placed before th^ 
Qi^nes of medical practitioners who are only M. D. To avoid aE 
difficulty, it is now the custcun to call Doctors all those persons wha* 
are properly qualified medical men. The modem use b to writ^ 
Dr. Mati Lai Ghose M.D., Dr. Prem Chand Das, M.B., Dr. Kishati 
Mohan Baneijee L.M.S.» It i^oids also the confusion wdtii Dsa,. 
L.L.£>., D.L., etc., which are non-medical epithets. « 



April 1906.] SdUor'i XoUil Jh& 

The next question of importance is whether the lay fMmctitinners 
and apothecaries will he allowed the use of the term Doetor.. 
They are called by their patients as such and they use the word 
aa Dr. Anup Chand Datta, without any subsequent designation. 
In law courts they are not recognised as Doctors. The list o^ 
naedioal practitioners published by the Government of Bensfal 
do not contain their names. We think it would be safe to e^plud^ 
them from the category of Doctors. 



Onosmodium in Muscular Asthenopia. 

In the BrUish Homceopathic Society, Mr. C. Knox Shaw reacl 
the following paper : 

** Some years ago, when the late Dr. Hughes waa at work upon the; 
'*Cyclop«dia of Drug Fathogenesy," he drew my a,ttention to th^ 
probable value of onosmodium in muscular asthenopia. Since tt^en^ 
I have prescribed the drug frequently, and with marked benefit. 
Bat I have been much surprised to find to what a number the name 
and action of the drug is quite unknown. ^ I have therefore, ventured. 
to bring a short notice of it before the members of the Society. 

Onosmodium is a plant of the natural order Boragiirunceae, gnawing 
wild in America. According to Clarke's '^Dictionary of Materia^ 
Medieay." it is commonly known as ''false gromwell/' a tincture of, 
which is made from the entire fresh plant, injpluding the rootr 

It was first proved by Dr. W. £. Green, who publiidied.lii» 
results in the ScAnemanman Monthly in June, 1S85; 

He appears to have proved the drug three times upoi^ himself and ' 
tsvice on Mrs. C. 

The head and eye symptoms are marked and characteristic^ I 
give them in the order of frequency of occurrence. 

Dull occipito-f^ontal headache. Dull heavy pain in frontal regions 
and in both temples, also in mastoid region, the temporal headaches 
being most markedly left-sided. Headache over both eyes. Dull 
pain on the top of the eye-balls. Feeling of tension in the eyes. 
Wants to look at things very far away. Hie eyes feel tired, as if* 
they were stretched wide open. The eyes feel tired. The lid* ffeel 
heavy. ^ 

The vision is blurred. During the proving visual acuity was 
reduced f^m \^- to ^^, and remained so for several days, returning 
to ^, when the drug was left off: ^ ' 



153 Edihr'9 Notes. [VoI.xxv^No.i, 

Ophthalmosoopically it was noted that the optic discs were hy- 
persBmic snd the retinal vessels engorged. 

Associated with the head and eye symptoms there were certain 
other frequently recurring ones : numbness and weakness in the legs, 
tired, weary feeling in the limbs, weariness, very tired. 

Another marked symptom is rawness and dryness of the throat. 
The drug is a sexual depressant in both the male and female, and in 
women excites uterine and ovarian pain, as well as aching and pain 
in the breasts. 

When studying the drug one is struck with the marked association 
of the head and eye symptoms with those of great muscular tiredness 
and weariness, especially of the lower limbs. 

The cases in which t have found the curative sphere to be most 
marked are those with dull, aching occipito-frontal headache, or left- 
sided headache, with heavy lids and tired, weary eyes, with inability 
to use them for any length of time, general lassitude and weariness, 
especially of the limbs, a feeling of tiredness all over. 

We meet with this condition very frequently in cases of astheno- 
pia, when the symptoms are out of all proportion to the amount of 
the error of refraction discovered.. 

I am convinced that it is not wise to ignore these small errors of 
refraction, and that it is necessary to correct them optically, especial- 
ly in astigmatifim, when the asthenopic symptoms are marked, so 
that I almost invariably give the patient a prescription for glasses, 
even when ordering the indicated remedy. As the prescribing of 
glasses in a great many cases is all that is needed, and all symptoms 
will disappear under their use, it not infrequently happens that no 
prescription for medicine is given unless the patient continues to ' 
complain at a subsequent visit. In many cases of errors of refraction 
we have not only to correct the optical error, but to treat the 
temperament of the patient in whom we find the error, and it is in 
such cases that we find d^ugs like onosmodium so useful. Similar . 
acting drugs are actea, ruta, kalmia, gelsemium. 

Onosmodium has been used in all dilutions from tl^e mother 
tincture to the cm. I have prescribed it most frequ^itly in the 2x 
or 3x. 

Mr. Knox Shaw, in reply, said he wrote the paper with a very 
definite object. It had been so often said that from the surgical 
section no therapeutical work was ever presented. It had been his , 
desire to write a short paper which would convey a certain amount^ 



April 1906.] Obituary. 154. 

of information, wLich he trusted would be valuable, and to set an 
example which might be followed by others. It was a complete 
omission on his part not to have added natrum muriaticum as one of 
the remedies for asthenopia, because he had found it of extreme 
value, and had found it helpful even in such a material dose as 6x. 
He had used it occasionally in the thirtieth dilution. He had used 
lilliumr, but it had never been a drug that had ''caught on" with Mm. 
Se had used it in cases where he thought the astigmatism was due 
to ciliary muscle spasm, and now and then he had obtained benefit 
from its use. He would give actea where asthenopia was associated 
with some pelvic disturbance. It was extraordinary what a number 
of people with a pelvic disturbance had muscular asthenopia, and in 
such cases he prescribed actea or macrotin." 

The remedies for Muscular asthenopia are few in number. 
Natrum Muriaticum is a valuable medicine, and the addition of 
Onosmodium imparts valuable help. 

OBITUARY. 
Dr Hurro Nath Boy, l.m.s. 
Dr. Hurro Nath Roy was an inhabitant of Mahiarhi about twelve 
miles south of Calcutta. Being bom in a Pirali Brahman family 
he had many friends among them in Calcutta. He graduated from 
the Calcutta Medical College in 1867 and shortly after, selected 
Allahabad for his field of activity. After showing his skill in the 
orthodox system, he gradually leaned towards homoeopathy, ob&erv: 
ing the immense superiority of the new system. Subsequently 
Calcutta drew his attraction as the premier town of India where 
homoBopathy was preferred. He wrote a few books on the practice 
of medicine and other subjects and was among us about two 
decades manifesting the success of his achievements, till he was 
ruthlessly taken away by the great annihilating force, leaving 
an old mother, a devoted wife and children to mourn his loss. 
About seventy he was when the sad occurrence took place. He had 
diarrhoea for some time but being always busy with practice he 
could not think of rest, till eternal rest and peace was forced on 
him after an active work of thirty-nine years. As a Vice-President 
of the Hahnemann Society, he always evinced an ardent zeal for 
professional status. We mourn the loss of a friend and colleague. 
Our sincere condolence to the bereaved family. 



168 Clinical Record. [Vol.xxv,No.4, 

CLINICAL RECORD. 

Indian. 

A CASE OF SUPPRESSED SMALL POX. 
B^ Dr, Hem Chandra Ray Chaudhuri, L, M. S. 

S a boy aged 16, residing in Jadu Nath Srimany's Lane 

was first seen on the 3rd Febroary, 1906. He was suffering from 
fever and eruptions which seemed to be small pox, from the morning 
of the 30th January. I saw two matured pocks, one on the left cheek 
and another on the right chest near the right axilla. The face and 
body were covered with raised papules. They were more than 
erythemata and less than pocks, having blackish tops. The nature 
of the eruptions gave fright to the fetmily. A few medical prcti- 
tioners pronounced an unfavourable prognosis and they retired 
without administering any medicine. The Medical Inspector em- 
ployed to look after Smallpox cases and Vaccination was of the same 
view with others. The father of the boy though not being in favour 
of homoeopathy was yet obliged to call me as a last resort, for he had 
horror of quacks who pretend to cure small pox cases, I mean the 
80-called Sitala-Pandita. 

I saw the boy at 9 a. m. He had then the temperature 101*4 F., 
with thirst and restlessness. He had no delirium. BdU 30 waa 
prescribed. Li the evening the temperature rose to 102*6. 

4th February. Temp, at 7 a. m. 101. 

The same medicine was continued. Evening temp. 103. 

5tL The eruptions have risen up and assumed suppuration. 

In other respects he was almost the same. Morning Temp. 101*6. 
YxxrioUnum 12 dec. Evening temp. 103. 

6tL Morning temp. 101*6 YaridlvMJim 12 dec. Evening temp. 
103*2. 

7th. The pocks have taken the confluent type. Morning temp. 102. 
The face was considerably swollen as well as the body. Ant. t 6 dec. 
Evening temp. 103*4. 

8tL Morning temp. 102*4. Was delirious and restless at night. 
No change for the better. ArU. t 6 dec. Evening temp. 103*4. 



April 1906.] Clinical Secord. 168 

9tli. Was delirious and restless at night. Burning sensation 
was accompanied with thirst. Plaoebo. 

10th. The condition was almost the same. Morning temp. 103. 
Was very restless and delirious at night; had great thirst. 
Melandrin 30. Evening temp. 104. 

11th. The morning temperature came down to 102. The other 
complaints were rather less than yesterday. Melandrin 30. Evening 
temp. 101. 

12th. The temperature has come down 100 in the morning. The 
accompanying complaints were far less. Evening temp. 99*4. The 
same medicine. 

13th. He was doing much better. The confluent pocks were 
drying up and forming masses of scabs. The swelling of the face 
atid limbs has considerably lessened. Morning temp. 98. Melandrin 
30. Evening temp. 98. 

The patient gradually recovered and only Placebo was given after 
this. He could come out of the room about three weeks after the 
13th February. The last difficulty was with his eyelids which 
could be opened gradually and with great difficulty. The conjunc- 
tivae were affected. The comae were without any touch of 
ulceration. The boy being my neighbour I could see him now and 
then. Bice and fish soup were given about three weeks after the 
first appearance of the pocks which were first observed on the 
30lh January. 

Bemofl'ha. 

In this case the unfavourable sympt(»ns were so many that they 
yielded under the influence of our medicines. BM, helped theissu- 
ibg out of the suppressed eruptions. * The administrations of Hep. 
ettlph, was not necessary to work against suppression. The severe 
confluent type yielded to Melandrin, after the failure of Jnt. ^. 
The high character of the suppurative fever was an index to its 
severity. The use of thermometer could demonstrate the morbid 
nature of the changes undertaken by the pocks. The gradual 
subsidence of the temperature showed the success of Melandrin^ 
as the fever never yielded to AnU t: The case proves the usefulness, 
of thermometer in such cases, without which any rational treatment 
would have been impossible. The use of Melandrin becomes manifest 
in this case of c<mfluent smskll pox on the failure of Ant* t. 



167 Clinical Record. [VolpLxv,Nx).4, 



TUBERCULINUM AND ARSENICUM lODATUM IN 

ALBUMINURIA. 

By Dr. A. Lambbeohts, of Antwerp. 

Tuherculinum, — I was led to experiment with this medicine in 
nephritis because I had been struck with the constancy and intensity 
of the kidney symptoms in tuberculous patients undergoing treat- 
mei^t with Koch's tuberculin. I found, in feecti that if a relatively 
feeble dose of tuberculin be injected under the skin of a phthisical 
patient whose kidneys are sound, sharp pains are soon experienced in 
the region of the kidneys ; the urine becomes albuminous and at 
times contains a notable quantity of blood. Tuberculin is therefore 
capable of producing well-marked acute nephritis, and the three 
symptoms, renal pain, albuminuria, and hematuria, are included in 
the pathogenesis of tuberculinum published by Dr. Mersch in the 
first volume of the Jowmal Beige cTffomcBopathie, 

Since that time I have had the opportunity of trying the effect of 
the drug in different varieties, of nephritis, and I have observed 
that it is especially efficacious in infe^ious nephritis, such as the 
nephritis supervening upon scarlatina, upon influenza, or upon 
erysipelas. Tuberculin would be specially indicated if the patient 
showed any disposition to tuberculosis or to catarrhal pneumonia. 
Dr. Jousset fully confirms the beneficent action of tuberculin in 
post-scarlatinal nephritis. 

The remedy appears less efficacious in chronic nephritis ; neverthe- 
lei^ I believe it may render important service in the treatment of 
Bright's disease associated with tuberculosis or pulmonary hepatisa- 
tion. 

Clinical observation : — 

Case I. — Marie H., aged 9 years, of lymphatic temperament, and 
without tuberculous antecedents. Was attacked with scarlatina on 
March 10th, 1904. The malady pursued a normal course under the 
influence of the usual homooopathic remedies, when about the eigh- 
etenth day symptoms of acute, nephritis showed themselves. The 
eyelids were puffy, there was slight oedema of the ankles, and the . 
urine contained 3 per 1000 of albumin (Esbach). R. Tulieroulinum 
6 and milk 4jiet. . After ten days of this treatment the luine con]bain-. 



Ai^ril 1906.] ainical Record. 158 

ed only half the quantity of albumin, and the cedemi^ of the ankles 
bad totally disappeared. At the end of the fourth week there was 
no trace of albumin remaining. 

Case II. — Auguste V., aged 58, brewer, seen Nov. 14, 1903. 
The patient had had some weeks previously a violent attack of in- 
fluenza, the respiratory and digestive symptoms predominating. This 
^WBA followed by acute nephritis with well-marked urssmic complica- 
tions. When I first saw the patient he was delirious ; there were 
vomiting and convulsions ; the pupils were dilated ; the urine was 
sanguinolent and contained about 8 per 1000 of albumin. At the 
right base there were dullness and some fine dry rales. The tongue 
•was coate^, bowels constipated, temperature 38 C. ; there was no 
oedema of the lower extremities. I prescribed cupr. acet, and can- 
tharis to combat the uraemic complications. Under the influence of 
these two drugs the head-symptoms improved considerably, and the 
patient recovered consciousness the very first day. Neverthdess the 
urine remained red and strongly charged with albumin, I th^a 
tried tuberculinum 6, which appeared indicated by both kidney and 
lung symptoms. The patient used the remedy for a month, and by 
Dec. 14th he had completely recovered, not a trace of albumin re^ 
maining in the urine. 

Case III. — A woman of 40, of lymphatic temperament, showing 
old cicatrices on the neck, and two of whose children had died 
tuberculous, was seized with erysipelas, which commenced with thei 
id<B nasi and invaded face and scalp ; then these symptoms disap- 
peared suddenly, and she complained of vague pains in the loins. 
The unne contained blood and about 1 part per 1000 of albumin. 
There was but slight oedema. The tuberculous constitution of the 
patient led me to prescribe tuberculinum 6, which/ answered perfectly. 
At the end of ten days the patient was completely cured. 

Arsenicum lodatum, — This is one of the most important drugs in 
chronic albuminuria. Its homoeopathicity is undoubted ; in fact in 
toxic doses it completely disorganizes the kidneys, and we find in the 
urine albumiu and the formed elements from the renal gland. In 
exceedingly minute doses it acts as a re-constituent of the kidney, 
and under its influence the albumin diminishes in a miu:ked and 
constant manner even in the gravest cases, as I have often had 
Qccasioi^ to testify. Iodide of arsenic ui specially efficacious in the 



169 Clinical Record. [Vol.xxVjNo.4, 

lower triturations (third or second decimal). The high dilutions 
seem to have a less certain and prompt action. It is especially indi- 
cated in the chronic nephritis of ansemic patients, in parenchymatous 
nephritis, and in the interstitial nephritis of arteriosclerosis. 
- Case 1 . — ^The patient was a farmer, aged 47, suffering for several 
years from parenchymatous nephritis. In consequence of a chill the 
malady became aggravated ; oedema showed itself in the lower Ex- 
tremities and made rapid progress. Sudorifics, purgatives, and 
diuretics were exhibited, but without success. Paracentesis abdo- 
minis was performed on three different occasions, but each time the 
ascitic fiuid collected again within three or four days, and the 
medical attendants gave a hopeless prognosis. It was then that the 
patient's wife came to me begging me to examine the urine and to 
tell her if there were still some chance of a cure. A rapid examina- 
tion of the urine showed that it contained a large proportion of 
albumin. On a more careful analysis it was found to amount to 15 
grams per litre ; it contained numerous hyaline and fatty casts and 
was de£k;ient in urea. I commenced treatment with cantharis, but 
without result. I then administered first arsen. iod. 3x, and soon 
afterwards arsen. iod. 2x, under the influence of which drug consider- 
able amelioration took place ; the urine became more abundant and' 
the anasarca disa{^>eared insensibly. 

After six months' treatment the urine still contained about 2*5 
gr«^ms of $Jbujnin, but the patient believed himself cured and left ofiT 
medicines. I had occasion to see him lately, after an interval of five 
years, and though the urine still contains about 2 grams of albumin, 
the patient has been able to follow hia outdoor occupation without 
experiencing very much fatigue. 

Case II.— On Jan. 28^ 1903, 1 saw a young girl of 14 who had 
never menstruated, and who had suffered from chronic nephritis for 
ipore th«n a year. She presented idl the syuiptoms of ansemia, pale 
tint, blanched lips, palpitation, oppression on the least exertion,, 
neuralgia^ l^oco^Iuoea, ^. The urine contained 2 grams of albumin* 
The treatmeixt hitherto had be^i entirely unsuccessful. Arsen. iod*. 
3x had com^tely refiaoved the albuminuria at the end of three weeks^ 
%ii4 the^^ieral condition had very markedly improved. 

Case III.-^I am a^ present treating a young man of 23 suffering 
feomcfaronio nephritic inr t&e last twa years. When I first saw Mm 



April 1906.] Clinical Record. 160 

his urine oontained 5*5 grains of albumin and ntimerouOBi hyaline 
cylinders. The different allopatliic drugs to which he had been sub- 
jected had had no influence upon the quantity of albumin. I pres- 
cribed arsen. iod. at first in the 3x and then in the 2x trit., with 
a diet consisting of milk, vegetables, and fruit. When next examin- 
ed the urine contained only 1 *5 grams, and the hyaline cylinders 
had completely disappeared. — Monthly ffonuBopcUhic Review^ February 
1, 1906. 



CASES ILLUSTRATING THE ACTION OF SULPHUR 

IGNATIA, AND. SEPIA, 

Bt Dr. Stokqam. 

Case 1. — H. K., aged 33, a fur-skin dresser. Admitted to the 
London Homeopathic Hospital on July 22, 1903, as an out-patient. 

Five years ago the patient had pleurisy. Previously he had very 
perspiring feet, but after the pleurisy the feet became dry ; and 
there was also left behind from the pleurisy a burning pain at the 
base of the right lung — ^the seat of the pleurisy — not constant, 
but fi?equent. 

He expectorates much bluish phlegm in the mornings only. He 
smokes a good deal in the evenings, and takes six to eight glasses 
of ale daily. 

Nine months ago an eruption started, at the bases of the toes ct 
both feet, consisting of watery vesicles which are very irritating, 
and ifhem. they burst the fluid from them is very acrid, and the sur- 
rounding epidermic areas are inflamed by it and destroyed, the dead 
^idermis then peeling off, leaving a raw, red surface. This heals 
up in - from dght to ten days, but a day or two later the whole 
process recommences, so that his fbet are never really free from 
eruption. 

He feels in good general health when the eruption is fully out, 
but just before it oomes out ke feels "out of sorts." There has been 
no burning pain at the site of the old pleurisy since the eruption 
commenced nine mouths agow There are no j^ysicai signs of ab- 
normal character to be detected in the chest He has attended the 
London Hospital, tJie Westminister Hospital, and nine diflbrent 
doctors, but gets no better. 

July 22, UOZ.-Sulph. ZOmr. nocte mtm^u>$. 



V 

161 Clinical Record, [Vol.xxv,No.4, 

August 5<A.— The feet have gone through their cycle of eruptive 
changes one since he was here. The eruption is now in the healing 
stage. The burning pain has returned in the back. Sp» Yin, Rect, 
node nianeque, 

August I9th. — Has gone through another but shorter and fless 
severe cycle. Is now practically well again, and has been so for 
nearly a week. The feet are in better condition now than they have 
been in for months. Hardly any burning pain in the lung. Hep. 
S, V, R, 

Svptemher 16/A. — ^The eruption has not broken out again, and the 
foot is well. There is only a dusky discolouration of the skin over 
the formerly affected area. A slight, dull pain under the right sca- 
pula, which comes soon after rising and lasts till 7 p.m. Sulph 30 
m.v. alternate mornings for 14 days. 

October \Uh, — No return of symptoms. Kep. Sulph, 

November Wth, — Feet still quite well. Burning in spot over base 
of right lung comes on at 2 p.m. and lasts till 8 or 9 p.m. He is 
sitting at work all that time j When he gets up and walks about 
the pain goes. It does not come on Sunday when he is not at work. 
His employment is to dress all kinds of skins, and this involves much 
use of the right arm. Ara 30 m.v. om, mane, 

December 5th, — Feet remain well. Burning pain under rights 
scapula gone. 

Case 2. — Miss B., aged 20, in September, 1903, had a bicycle 
accident, running unexpectedly when on her bicycle against the 
shaft of a cart, which struck her over the left eye. She met the cart 
and ran straight between the horse's legs ; she was not run over. 
She was taken into a shop and given restoratives, as she nearly 
fainted, but did not actually lose consciousness. There was not much 
loss of blood, and no great injury to bone or tissues. At first little 
effect seemed to result from the accident, but a fortnight later it was 
noticed that she was more childish and had foolish notions and ac- 
tions, and these increased. She feels she can take no interest in her 
work, and does not care whether it is done or not, but goes on doing * 
her household duties mechanically and without thinking about them, 
and consequently very slowly and inefficiently. She has a constant 
desire to watch other people and windows of the opposite house, and * 
is under the dominant idea that they ara all watching her. She 



A^ril 1906.] Cliikieat Record. iQi 

lnughs at tribes, atd in a silly manner, and also eftailj fikeds tears. 
Wishes she had not long to lire. Feels she is '^giring iiray to ike 
devil" and does not care. Cannot think steadily on any subject. 
Appetite and deep are good ; physical health good ; pulsd 80. No 
menstraal irregularity* She is not at all timid^ and rides her UoyoU 
M before the aootdent, perfectly fearlessly. 

ifovmnber Zrd,^—I^. 30 piL iL td.s. 

Niyo&mber Itk. — ^Less melancholy tiie litst few days ; less inclined 
to ery. Is now quite conscious that her ideas cUkI notions were silly, 
bnt said she could not b^p them. Th^re is a general want of mental 
tone, and a childishness which is unnatural to her. Cent. Ign» dO. 

November 2\8t. — Very much better. Still a little childish, but 
all melancholy has gone, and she takes an interest in work and 
amusements. 

December l^th, — Is now quite well, and has lost her childishness. 
She has since nursed her mother Uirough a long and fktal illness 
w^ithout the least sign of return of mental indisposition. 

Case 3. — Miss E. Y., aged 13, had for over twelve months suf- 
fered from strumous ophthalmia wi<^ ulceration of both oomote, 
conjunt^tival injection, and extareme photophobia^ She h«d beeti 
tinder skilled homeopathic treatment all this time, Irith ocdttsldnal 
ameliorations and repeated relapses. After coming tinder my troMit- 
ment she fared no better, though she was given all thei usual ey^ 
medicines — Merc, cor,, Bell,, Euphraaia, Aconite, Conium, ice., and 
had variotis local treatment as well. 

At last it was dedded to prescribe entirely on the general condi- 
tion of the patieott^ and to use a repertory. There were no very 
marked sytnptoms beyond l^e state of tho bowek, which wchr* oubt 
stipated. The fi$c6s were small And hard, and passed ^HHi diffieoHy ; 
there tras frequent urging with the passage of nothing but dotm oit 
stool being attempted. This characteristic symptom of Sepia, is&- 
gether with the eye symptoms of Sepia — ^great sensitiveh6ss df th6 
eyes to the light of day, inflammation in the' eyes, burning in thd 
^yeiii laebrymation — caused the selection of Sepia, which was given 
in the I2th oentesitnal dilation night and morning. 

^nden* tfan treatment rapid imp^dvement bot^ to the eyes and 
generttl h^l^ took ptftce. The bowds b^an t^ act regulariy and 
«ttffid€)n^y ; (^ beidaiii^ le^ tkfiiid; gi^ ta tUmp better (shaf.liad kdft 



I6S AduUei*ation of foods and Drugs. [Vol,xxv,No.4> 

long awake before). The corneal ulcers healed and the eyes lost all 
inflammation/ but the healed ulcers left behind them corneal opa- 
cities. 

A certain degree of astigmatism resulted, which ttras partially 
corrected by glasses ; but it took two to three years for the opacities 
to clear off, during which time there was occasional slight relapse 
of the ophthalmia, always immediately checked and improved by & 
few doses of Sepia, For the last two years she has had no trouble 
with the eyes at all, and the corneal opacities have quite cleared 
away ; and she sees to do a large amount of clerking work without 
43pectacles and without eye strain.-Z^om^pa^A^c World, April 2, 1906. 



,®leaninij0 fram ConttmpratB %ittt^ntt. 



ADULTEEATION OF FOODS AND DEUGS, 

THEIE EELATION TO THE PUBLIC HEALTH. 

By Amanda C. Brat, M.D. 

Worcester, Mass. 

The conservation of the public health is a duty not wholly belonging to 
the medical profession, although the world looks to those who have receiv- 
ed medical training and have earned medical degrees for instruction in 
hygiene and the rules which should govern and regulate life. It has been 
the custom to turn to the physician when health has broken and disease 
seized upon the vital organs, but now, more and more the world is turn- 
ing to the physician for information upon all subjects pertaining to long- 
evity and robust health. The effort to live to a "green old age" free from 
disease and suffering is the goal toward which all are turning — ^for the 
ideal life is the one which results in work accomplished, in progress 
achieved, and all things equal, that life must be a healthy one. The 
physician need not be deterred from teaching the laws of health for 
fear that he may diminish his professional income because it takes a 
certain amount of sickness to exhaust an invalid, and if this is extended 
over a period of eighty years he will make as much out of it as he could 
have done in forty years, so that from a business point of view there is 
no reason why a physician should not be a teacher of hygiene. 

One of the many and largest factors which influence the health of the 
people is food — because eating is the chief industry of the race. There are 
thirty million wage earners in this couutry drawing twenty-five million 
dollars a day — and of this amount, three-fourths are applied to the pur- 
chase of food and its preparation. A subject that monopolizes 3-4 of the 



^pril; 1906.] Adulteration of foods and Drug^. 164 

energies of the people is surely one well worti^y c^ discosnon and one 
worthy the attention of a body of physicians whose daty is not wholly 
the curing of disease but whose vocation has extended to the larger pur- 
pose of conserving the public health. 

No reading man or woman is now ignorant of the appalling extent of 
adulteration of food and drugs, and of the disgraceful laxness of the 
Senate which allowed the pure food bill to die in its last session. The 
fact that nearly every State in the Union has enacted laws more or less 
stringent against the sale of adulterated foods containing harmful adul- 
terants, and against false articles of food and medicine, shows conclusively 
that the conditions of the market are such that these measures are a 
necessity. There is not a single enlightened nation of the eavth that 
does not attempt to protect its people from the injury of poisons and des- 
tractive agents in foods and diinks and also against misbranded articles. 
"We are living in an artificial age, consequently we must employ artificial 
means to sustain life. The average business man cannot devote ten hours 
a day to confined labor and at the same time retain his health, yet that 
is what is expected of the average clerk and several hours additional to 
the successful man because business demands it and they are compelled to 
meet those conditions. A hurried life — without leisure, without sunshine 
without exercise in the open air, with indiscriminate and hastily eaten 
diet, must necessarily carry with it a long train of nervous conditions 
making the victim of these irregularities an easy prey to disease and 
broken health. 

By artificial means and scientific methods the average life of man has 
been prolonged in the last fifty years, and it has become a known fact that 
proper diet varied to meet the wants of each individual is not only the 
greatest preventive of disease but the most potent panacea of the ills ol 
the day. 

The nation is unable to prescribe a dietary course for each individual — 
it cannot say what each one shall or shall not consume, bat it can and 
should be morally responsible in its protection of the people from fraud 
and imposition, so that acting intelligently a man may procure such foods 
and drugs necessary for his physical condition and be assured that he is 
buying the article that he desires. It is a dttty that the govemmwit owes 
each citizen^ to shield him from the greed, rapacity and the dishonesty of 
those on whom he is obliged to depend and to protect his rights. 

The Secretary of Agriculture a few years ago estimated the sale of 
adulterated foods in the U. S. in a single year at 81,175,000,000,00, or 
about 15% of our entire commerce in foods. This estimate was made 
from the reports of the food commissioners of several states and such other 
sources as he could command and ta be conservative he adopted but 50% 
of the total result shown. When one thinks that the great bulk of our 
food products consists of flour, potatoes, vegetables which are seldom 
adulterated, we can see that the percentage of adulterated articles must 
be enormously increased. I quote from the commissioners' report ; 



166 AduHeralioft of foodi and Drug9, IT<4.xxv,No.4, 

^One m%]lt suppose thi^ the meats offered fbr sale would be generally pure 
and' true to name, but of potted chicken and potted tnrkey, which are common 
pro4uct9» there is really not a ean found which contains in determinable 
quantity either chicken or turkey." "More than 90 per cent, of the meat markets 
i|se phemical preservatives, and In nearly every butcher's shop could be found a 
bottle of Freezem, Preservaline or Iceiue as well as Bull Meat Flour. ThQ 
^mpunt of boracic acid employed in these meats varied to a considerable extent 
and expressed in terms of boracic acid in sausages and Hambiirg steak would 
probably range from 20 grains to 45 grains per pound. Scarcely a ham can be 
found that does not contain borax, and in dried beef, smoked meats, canned 
bacon, in canned chip beef, boracic acid or borates is a common ingredient/* 
'Ninety percent of the so*called French peas are found to contain copper salts 
m varying quantities^ and in a few, samples of aluminum salts were found in 
addition." 

''Eighty-five per cent of the canned mushrooms were found to be bleached 
by the use of sulphites, and apparently no definite rule was followed by the 
manners, and in many instances the contents of the can proved to be nothing 
l^e^ter than discarded stems of mushrooms — but there was nothing to show this 
pn the label/' 

When the food law went into effect in North Dakota there was but one 
braud of catsup which was pure^-that is — free from chemical preservatives and 
coal tar coloring matters. Many of the catsups offered for sale were made 
from the waste products of canners' pulp, skins, ripe and green tomatoes, 
starch paste in large quantities, eoal tar colors, chemical preservatives, usually 
benzoate of sOda or salicylic acid, the whole highly spiced and not always ftree 
from saccharin. In many instances the base was largely pumpkin." 

"Seventy per cent of cocoa and chocolate were found to be adulterated, the 
cheaper grades having some flavoring matter such as synthetic vanilla added te 
improve the quality, some so badly adulterated that the beverage made from 
them would never be suspected of having been produced from the coeoa bean." 
I quote from an article by Senator M'Cumber : 

^ucose, the king of personators, does duty in a thousand ways^ Colored 
and flavored with a little Timothy seed, it forms the great bulk of our straw- 
berry jelliee. A da^ of different flavoring and it is by magic transformed into " 
raspberry, apple, or any other kind of jelly; it constitutes the greater part of 
cur strained honey;, even the bees themselves are readily deceived and empty 
readily- bari^ela full of it when near their hives. It has driven much of the pure 
eane molasses and syrups out of the market. There is more Vermont maple 
sugar sold every year than that State can produce in ten years. Glucose, burnt 
SUgsjr, and a very little poor molasses, with flavoring, feeling the demand. Hake 
or any other kind of fish cured and put up in packages, comes to our table 
as codfish." 

A great proportion of our ground spices are mere imitations. VkniUa beans 
and nutmegs have their oils extracted and are then put upon the market 
Apple parings, apple cores and rotten apples go into a vat, and from that ex- 
traction every known kind of jelly is made." 

<<A11 kinds of wine are made from a cheap basis, flavored and colored to 
Imitate the genuine article. Dozens of brands are drawn from the same cask, 
priced in the market according to the value of the brajad imitated. Cotton seed 



April 1906.] Adulteration of foods and DrugM. 166 

oil mid oUkf oils, with tlie importer's brand showing a French or Italian source, 
are palmed off for olive oil. The filling has been driven out of cheese, but it 
lias lodged iu other articles of food. This cheese was manufactured by first 
venioving the butter fat from the milk by an ordinary separator. This was 
saade into butter and sold, and an amount equal to the weight of the butter in 
deodorized lard was substituted for the butter fat. Now the same thing is done 
with condensed milk — the butter fat is extracted from the milk and an equal 
amount of hog fat substituted for it. 

'Ice cream is made without any cream at all. condensed skim milk, condensed 
until it is as thick as cream and mixed with neutral lard. Even cream pur> 
ehaMd for our table is manufactured from skimmed milk with condensed milk 
added to thicken it to the proper consistency. Chocolate cream candies are 
filled with this same emulsion. 

"'Cider vinegars are for the most part manu^EU^ured articles without a drop 
of apple juice. Drugs prescribed for the sick are adulterated and mislMranded.'' 
Last year the New Orleans paper printed the following : 
^ The surgeons of the New Orleans Eye, Ear, Nose and throat Hospital have 
noted the great number of patients entering that institution from the country 
around New Orleans suffering from partial or total blinduees. An investigation 
disclosed the fact that a cheap antiseptic containing a large amount of wood 
alcohol has been used throughout Louisiana. The city chemists found 90 per 
cent, at least, of methyl alcohol in one of these speoimens, rendering them 
totally unfit for internal administration, as methyl alcohol when taken internally 
acts directly upon the optic nerve. The nuyority of persons affected will not 
fully recover their eye sight." 

An article from the New York Evening Post of January last is along 
the same lines : % 

''Of 375 samples of phenacetin bought from as many retail druggists in the 
City of New York, 816 were found to b e adulterated with acetanilid a drug 
having a depressing action on the heart. Of these adulterated samples 267 were 
mixtures of phenacetine and acetanilid, while others were pure acetanilid." 

The paper states : 

"The seriousness of the adulteration will be comprehended when it is recoUect- 
ed that phenacetin Is an antipyretic so commonly used that it may be practi- 
cally considered a household remedy. Furthermore it is almost universally 
dispensed by druggists all over the country without a physician's prescription, 
the usual dose being from five to ten grains. The wholesale price of phenacetin 
is approximately S. 1 per ounce, while that of the adulterant — the substituted 
acetanilid — is 25 centa per pound. Hence the financial inducement to make the 
substitution is consequently great" 

There is absolutely no reason why those who buy food or any othcor 
commodity should be cheated into purchasing something d^ereftt from 
what is purported to be sold to them. 

There are a large number of materials which have come into existence 
in recent years^ t^t serve in their way an admirable purpose, yet are not 
desirable from the standpoint of food supplies. Formaldehyde is an ex- 
ceUeiit preservative as. any undertake will be willing to afiSrm, but wken 
fish^meat;! mUk, or cream or any other substance is prevested froai 



167 Adulteration of foods and Brugn, [VoI.xxv,No.4, 

undergoing deterioration by an infusion of formaldehyde, it is very likely 
that the food thus treated cannot pass through the process of human di- 
gestion without harm to the person who eats it. Beer may be kept from; 
decomposing by using salicylic acid, but those who drink it thus treated 
subject their physical system to a strain better avoided. No one would 
knowingly purchase for his own use a beverage or a food which he kne^v" 
contained some harmful ingredient and the brewer would be the last 
person in the world to comply with the law by advertising the fact ia 
plain English on the label of each bottle that he sold. 

There are many adulterants that are harmless but used to give an. 
attractive appearance to the article in which they are blended. There is 
hardly any butter sold that is not colored and it is exceedingly inconsistent 
on the part of those engaged in the dairy business to insist that the makers 
of oleomargarine shall be prohibited from using coloring in the making of 
their goods, while coloring matter is freely used in the dairies to imitate 
June made butter, in that made any month of the year and often dyed a 
deep sf»,ifron totally unlike the delicate yellow it should be. The coal tar 
products are freely used in coloring sausages and preserving meats, the 
addition of nitrate of soda, nitrate of potash besides preserving the meats 
also intensifies the color. Potassium nitrate is so uniformly employed by 
all packers of meat as to be considered a normal constituent of the meat. 

These conditions open up a vast field for discussion. Sophistication is^ 
an art and while it may only cheapen and may not Ije injurious to the- 
health, it is a fraud. Milk diluted is not dangerous, but it lacks nourish- 
ment, hence it is a fraud, but when it is preserved by acid, it then becomes 
a menace to health.' Jellies and jams manufactured by gelatin, vegetable 
dyes, and natural acids are simply frauds, but when made of acids are a 
menace to health. When any article is mixed or blended with another so- 
that it reduces the nutritive strength of that article the consumer does 
not get what he pays for. The same is true of spices, the adultei-ation of 
which has become most scientific, wheat corn, ground bark, ground cocoa 
shells, mixed with ginger, clove, allspice, in fact, in all spices to ^ large 
per cent. 

On examination canned goods are found to contain salts of tin and lead^ 
the inside of the can often corroded. Dried and old peas are canned and 
labelled early June peas. The law provides that these goods shall be 
labelled "Soaked Goods" but many are found not so marked and if marked 
so illegible as not to be apparent. Tripe, oysters, salt fish are preserved 
with boracic acid. Bologna colored with aniline dyes (Bismark browa 
the most common). Even nuts do not escape the beautifying process,, 
last year's pecans are colored a rich reddish brown to look like the fresh 
nut. A preparation called preservaline sold in boxes is advertised as an 
excellent preservative for cider, vegetables, fruits, jellies, jams, mince 
meat and on examination is found to be salicylic acid. According to di- 
rections three measures of the preservative added to one quart of water 
is all that, is needed to preserve the article with no necessity to cook the 



April 1906.] Adulteration of foods and Drugs. 168 

fruit at all. An example of commercial fraud pore and simple is egg 
substitute called N'egg. The package contaios two little boxes, one of 
white the other of yellow powder, advertised to contain nutritive value 
equivalent to the white and yolks of one dozen fresh Qgg^y alleged to differ 
in composition as whites and yolks of eggs, but consisting solely of tapioca 
starch in the white box and the same ingredient in the yellow box with 
the addition of Victoria yellow coloring matter. 

There are so many drugs below the standard that the physician does 

aiot know, when his remedy fails, whether it is the person who does not 

respond to the action of the drug or if the drug is not what he supposes it 

is : aqua ammonia, powdered opium, opium tincture, iodine tincture, the 

precipitate of sulphur, with innumerable others. 

The law is that all poisons used for external use, especially the mercu- 
ries, shall bear the red label marked poison with the antidote on the label 
The law is evaded by placing the red lable^n the bottom of the bottle. 
Purely vegetable tonics recommended for inebriates are found to contain 
41.500 of alcohol. Sulphur bitters advertised as having no alcohol contains 
twenty five per cent and no sulphur. Opium cures contain morphine, fig 
syrup is innocent of figs, prune extract has no prunes but aloes and so on 
down the list. 

Brands of clam bouillon are invariably nothing but preparations of 
salicylic acid. Santiago West India Lime juice is a mixture of hydro- 
chloric and salicylic acid with no lime juice at all. 

When the German Government four years ago applied a new set of 
restrictions to the American meat products, one of these was based on 
the theory that borax was unhealthf ul. A great protest went up from 
packers and their sympathizers, saying, the excuse was a mere pretence, 
the real object was to hurt our foreign trade. Now, after careful investi- 
gation our Government vindicates the German contention. The law went 
into effect last June and great good has been accomplished based in part 
on the retaliatory theory that, ''no country shall export to us any article 
of food or drink under ban of their law. What they let their people eat 
they may send to us.'' The Department of Agriculture was authorized by 
an act of Congress for the year ending June, 1903, to make an investi- 
gation to determine the effect of certain preservatives upon digestion and 
health. 

The necessity for the investigation was found in the very general use 
of certain chemical compounds for preserving foods and of coloring 
matters for imparting to foods a tint resembling nature, or for pro- 
ducing colors pleasing the eye of the consumer. The use of preservatives 
is as old as civilization, the more important being sugar, salt, vinegar, 
wood smoke and alcohol. One of the chief characteristics of modern 
chemical preservatives is that it is often almost without taste or odor and 
for this reason its presence would not be noticed by the consumer in the 
quantity used, while nearly all in a concentrated from would reveal them- 
selves by dither odor or taste, as sulphurous acid, or salicylic. acid. ; 



169 Adulteration of foods and Drugs, [Vol.xxv,No.4, 

The Secretary of Agriculture was deemed the proper official to m^ke 
the iovestigation as the iuterests oter his department are associated alike 
with the producer, manufacturer and consumer and any favoritism to- 
ward either quarter would be eliminated. The investigations were carried 
out upon volunteers since no one could be forced to undergo experiments^, 
treatment, the great disadvantage being the absolute control of "the ex- 
periraentee/' The young men were placed upon their honor, neither watch- 
ed nor confined, were men of approved character, of college training and 
many of them engaged in scientific pursuits, and it was provided that 
during periods of observation they should continue in their usual voca- 
tions. Each applicant was required to fill out a blank describing the 
usual conduct of his daily life, name, address, age, any sickness within a 
year, condition of digestion, use of tea and coffee, use of tobacco, use of 
wines, beer, or alcoholic beverages, condition of bowels, the hours for de- 
fecation and urination, the hours of retiring and average hours of sleeping, 
the kind and amount of physical exercise. The applicant was selected 
from this data and the ability to do long and continued work was deter- 
mined by this and his physical condition. All had passed the civil service 
examinations so that their moral character, sobriety, reliability, truthful- 
ness and honesty, were vouched for. The kitchen, laboratory and dining 
room facilities made it necessary that twelve persons should be the maxi- 
mum number under observation at a time. The hours for meals were 
breakfast 8 a. m., lunch 12 a. m., dinner 5.30 p. m., these hours conforming 
more nearly to their usual m^al times. As the men were kept under 
observation from thirty to seventy days it was best to make the bill of 
fare a9 varied as possible, meats, beefsteak, beef, lamb, veal chops, pork, 
chicken, turkey, eggs twice a week, butter, milk, cream, all of the best 
quality, coffee and tea in moderate quantities. Desserts of custards, ricd 
puddings, ice cream, with liberal supply of fruits. The bill of fare wa» 
changed every day but recurred regularly in seven day periods, making 
work uniform for the cook and steward both in the preparation of food 
and quantity used and supplied. The experiments with borax and bori<$ 
acid were divided into five series of observations, three divisions of each 
the fore period^ the after period. The fore period determined the quantity 
of food required to maintain the normal weight at constant figured, and 
normal metabolism as a basis of comparison, the quantity being so varied 
thai by ten days there was no marked change in weight. Borax was 
selected as the fii-st preservative to be experimented with as being most 
eommooly used. 

In the first part of the experiment it was mixed with the butter, but 
later it was given in eapsnles for when it was learned that a certain arficfe 
cf food cimtaiiied it a natural dislike was developed for that thing, due to 
the mental attitude, and as it was known it was to be administered therd 
was BO nasoQ why it should not be given in capmiles and thus not inter- 
Jsrs with any article of food. Small quantities Wbre gl^en; in th^ begiit- 
ningandiacreased tathe limit of toleratioif and t6t eadx irariattoi af 



April 1906.] Adulteration off odd and Drugs. 170 

<](liantity a cteparate thidy of tfa^ dig^estivd prooesses wa« nfadeu Dctring 
the entire time the food was weighed, measured and analyzed, the ex- 
creta weighed and analyzed. The Sargeon General of the FabHc Health 
and Marine Hospital detailed a physician to make physical and medical 
examinations once a week with symptoms noted, and if they fell ill inci- 
dentally or independently of their work, he prescribed for them. The 
examination of the blood was made regularly, temperature taken before 
and after dinner each day, poise rate noted,, the weight of the body made 
oh platform scales wiUi agate bearings, so that any slight difference, ef 
even 10 grams, could be noted. All food analyzed, potatoes cooked, 
irithout seasoning, bread purchased of one baker and made of one variety 
during the entire period. The determinations were made of water, nitro- 
gen, phosphoric acid, fat, heat of combustion and analyses made of the 
urine and excreta ; also the effect of regular habits and the mental attitude 
noted. The preservative was given in quantity of one-half a gram at the 
beginning and increased to five grams a day, the quantity given during 
tiie whole period being 607'4 grams and of this quantity 468*6 grams 
were recovered in the urine. The after period was devoted to getting or 
patting the person back to his normal condition. 

The general conclusions based upon the data show that borax and boric 
acid taken in the quantity stated tend to produce slight loss of body 
weight, and in the after period the majority continued the loss of weight, 
only a few showing a slight tendency toward recovery of normal weight 
The tables showing the effect upon hemoglobin, number of red corpuscles, 
the calories, quantity of nitrogen, phosphoric acid, specific gravity, total 
solids, fats and volume of urine eliminated ivere very interesting. The 
medical symptoms of the cases show in most of them a tendency to a di- 
minished appetite, feeling of fullness and uneasiness in stomach, often 
resulting in nausea, a dull persistent headache, some sharp, well defined 
pains not persistent. If administered continuously some time 4 or 6 grams 
a day there is total loss of appetite, with inability for work of any kind. 
Four grams a day was found to be the limit beyond which the normal 
man may not go^ 3 grams a day can be tolerated by many and while in- 
jurious effects were felt they were able to continue work. While on the 
whole 1-2 gram a day is too much to receive regularly for it does create 
disturbance of appetite, of digestion and of health. 

The sole objects of adulteration are to sell an inferior article at the 
price of a superior one'; to preserve an article so that it mdy be sold after 
preservation as a fresh article and at as high a price, if not higher. The 
federal nation must Recognize the existence of the evil of food adultera- 
tion throughout the land. It cannot shut its eyes and conscience to the 
&ct, and strenuous exertions must be made to stamp out tUe food frauds. 

If the nation will strike at the source of the evil by prohibiting com- 
merce in adulterated and falsely branded foods in ei^ery state of the 
United States, there would be little difficulty in freeing our commeroial 
field of coHntbrfeit foods and driigs. The Gt>vemmeht oi the tl S: iias 
r 



171 Adutteration of foods and Drugs. [Vol.xxVjNo.4, 

passed several laws to protect the integrity of its currency and coin. If 
the Government compels me to pay every purchase and obligation with 
coin of f cdl weight and valae, is it not the concurrent duty of that Go- 
vernment to protect me against fraud and imposition and see that I have 
in return what I am paying for and not a spurious article worth less than 
my money value, and what is worse, may also be detrimental to my health 
and also of those dependent upon me. The duty of the Government i& 
not fulfilled so long as it does not protect me from these frauds. The 
naticmal law should reach the manufacturers and the importers. It should 
deprive no man of what he desires to purchase, but it should compel all 
goods to unmask and simply compel all articles of food to be bought and 
sold for what they actually are. Such a law could easily be put into eflfect 
the result upon the morals and health of the people would be beyond 
computation and all business would be made legitimate. 

The Coal Tar Lemon Pie. 

(Baltimore American.) 

(A pure food commission in Chicago recently dissected a lemon pie 

bought out of stock, and found it to contain neither^ lemon, butter nor 

sugar. The principle ingredients were various forms oi coal-tar and 

glucose.— News Item.) 

They're making cotton clothes from wool, 

And iron things from wood ; 
They're making goodies out of scraps, 

And nasty things from good ; 
They're making paper things from rags, 

And money out of "sky ;" 
But this is sure the worst as yet, 
A coal-tar lemon pie. 

They're making combs from kerosine, 

And pearls from olive oil ; 
They're making Belgian hares of cats, 

And syrup out of soil ; 
They're making buckwheat cakes from paste, 

And pumice stone — 0, my ; 
But this is sure the time to kick — 

A coal-tar lemon pie. 

They're making clothing out of glass, 

And butter out of grease ; 
While maple sugar, made from sand ; 

Is commoner than geese ; 
They make from scraps and chicken-bones 

Most terrapin you buy ; 
But anything we'll stand except 

A coal-tar lemon pie. 
Ths North Americaa Journal of Homoeopathy February, 1906. 



April 1906.] Ackncmledgmmt. 17* 

^jckn0tDltb0mtntj5. 



The Monthly Homoeopathic Review, April 1906, London. 

The ffomaopatlde World, April 1906, London, 

UArt Medical, March 1906, Paris. 

Allgemeine Hom&opathische Zeitung, April 5, 19 1906, Leipzig. 

^larpucrj UpooSo^ o^')> March 1, 15, 1906, Sjra (Greece). 

La Grhce Medicate, 3iiarch 1, 16, 1906, Syra (Greece). 

The New England Medical Gazette, April 1906, Boston. 

The Homceopathic Recorder, March 1906, Lancaster, Pa. 

Homoeopathic Envoy, March 1906, Lancaster, Pa. 

Medical Tim^s, March ; April 1906 l^ew York. 

Brooklyri Medical Journal, March 1906, Brooklyn, New York. 

Journal of the British Homoeopathic Society, January 1906, London* 

Revista Omiopatica, January, and February 1906, Rome. 

Revietw Homeopdtica Catalana, February 1906, Barcelona. 

The Indian Homoeopathic Review, April 1906, Calcutta. 

Ann>ae8 de Mediciena Homceopathica, September 1905, Rio de Janeiro. 

The North American Jowrnal of Homasopathy, April 1906, New York. 

Medical Advwnce, April 1906, Chicago. 

Revista de Farmacia March 1906, Bercelona, Spain. 

Diseases of children by C. S. Raub, M.D., Published by Boericke and 
Tafel, Philadelphia, 1906. 

Hcemorrhoids and Habitual Constipation by J. H. Clarke, M.D., publish- 
ed by James Epps & Co. Ltd. London. 1906 
The Science and Art of Prescribing by E. H. Colebkok, B. A., M.D. and 
A. Chapliit, B.A., M.D., published by Henry Kim^ton, London 1906. 

HonuBopathic Directory, 1906, published by Homoeopathic pubUshing Com- 
pany, 12 Warwick Lane, London. 1906. 



TERMS FOR ADVERTISEMENTS 

IN THE 

CALCUTTA JOURNAL OF MEDICINE. 

For One Tear, 

Whole Page ... Es. 20 I One-third'Page ... Es. 8 
jglf ,^ ... „ 12 ' ftuaxter ditto ... ,, 6 



Abhil CALCUTTA JOURNAL OF MEDICINE. I9«. 

SCOTT'S F.MIJT..STON ~ 

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WITH 

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AND 

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by Physicians in all cases where 
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Free Samples, will be sent 
post paid, to Physicians by 
addressing the Manufacturers^ 

SCOTT & BOWNE, Ltd.. 
Manufacturing Chemists, 
lo and ll'Stpnecuiter Si., 
LudgcUe Circm, 
I London, England. 



ark ar ilM " iMll " prM«Ml 



CALCUTTA JOURNAL OP SIBDICINB. 



MILO MALTED FOOD 



(Untouched by Hand,) 
roB 

INFANTS, CHILDREN & INVALIDS, 

SECEIVED AT TEE 

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